II CAREcare TM
Annual Report 2006/2007
Groundbreaking Fall 2007 our values
TM table of contents Message from the Chair and CEO 2 The Future 4 IntegrityI CARECompassion Accountability Respect Excellence Chief of Medical Staff Report 7 Senior Management Report 7 our vision Clinical Report 9 Leading the way in specialized Complex Continuing Care. Patient Services 11 Financial Report 14 our mission Board of Directors 16 Runnymede Healthcare Centre provides care for adults with neurological disorders, other chronic illnesses and palliative needs through collaboration and partnership. Runnymede Healthcare Centre’s innovative, interdisciplinary approach improves the quality of life for each patient.
Annual Report 2006/2007 Runnymede Healthcare Centre message from the Chair and CEO
Leadership, governance and Development milestones accountability • August 9, 2006 – On-site announcement Leadership, governance and accountability was by Minister of Health and Long-Term Care the mantra that inspired our entire organization George Smitherman and Minister of Public over the last twelve months. Initiatives from Infrastructure Renewal David Caplan to redevelop Runnymede Healthcare Centre into the past year have had a profound impact on a state-of-the-art facility. Runnymede Healthcare Centre. Investments and improvements have been made throughout • September 27, 2006 – Advised that the hospital. construction is anticipated to begin the first In April 2007 Runnymede Healthcare Centre quarter of 2008. developed a strategic direction, along with • Process accelerated with construction to mission, vision and value statements. To do begin Fall 2007. so we welcomed input from internal sources including the board, physicians, staff, volunteers • January 10, 2007 – Accountability and families. We also sought out the opinions agreements signed with Runnymede of external stakeholders such as community Healthcare Centre’s Board of Directors and Infrastructure Ontario. leaders, and healthcare and community healthcare providers. The documents we have • April 3, 2007 – Release for tender. drafted will guide us as we move forward over the next five years positioning Runnymede • Fall 2007 – Construction to begin. Healthcare Centre as a leader in the area of The need for leadership has never been more complex continuing care. apparent. Through the board and senior The newly developed board governance manual management we will continue to strive for excellence helped catapult us into the future as well. It will be while planning the new hospital, and ensuring a used to inspire effective leadership and outlines financially viable and accountable organization. the roles and responsibilities of the board. Our job has just begun. Preparation for the future In June 2006 Runnymede Healthcare Centre goes beyond the mere bricks and mortar of the received a three-year accreditation award project. Complex continuing care in Ontario from the Canadian Council on Health Services increasingly imposes the need for extensive Accreditation. This process, coupled with the resources and utilization. Runnymede Healthcare significant investments and changes now in place Centre is no exception. We have one of the most throughout the organization will pave the way for complex patient populations in the province. success as we transition to our new facility. We recognize that the dedicated board, staff The strengthened partnerships formed with and volunteers have provided guidance and Infrastructure Ontario and the Ministry of Health delivered specialized care under harsh physical and Long-Term Care primes us to respond to and fiscal constraints. However, with the imminent the increasing need for complex continuing development of our new hospital, Runnymede care. Construction will begin in the Fall of 2007 Healthcare Centre’s future has never been brighter. and, with the support of our many friends, Runnymede Healthcare Centre will deliver a new Susan Grant, Chair 200-bed facility on budget and on schedule. Connie Dejak Board of Directors President & Chief Executive Officer
Runnymede Healthcare Centre Annual Report 2006/2007 Annual Report 2006/2007 Runnymede Healthcare Centre It’s official: the new Runnymede Healthcare the future Centre is a go... The Ontario Government’s August 9, 2006 announcement of our new, state-of-the-art hospital put a stop to a series of reversals that began with an initial approval in 1987, followed by two legal directives to close, an order to change mandate, and successive delays and indecision. Twenty years of uncertainty has ended for our patients who depend on specialized care for diseases like Multiple Sclerosis, Huntington’s disease, and Alzheimer’s. The new 200-bed, four-storey (178,000 sq. ft.) hospital will replace our existing 95-bed facility. It will be designed to provide optimal space allowing for the expansion of our clinical and medical services Susan Grant, Board Chair and and programs. Gracing the new hospital will be 116 spacious patient rooms complete with private Isabelle O’Connor, Board member bathrooms, large therapy rooms, a town square and gathering room, a chapel, gift shop, two open-air courtyards, and wheelchair accessible therapy garden. Construction is slated to begin this coming Fall – a century after the construction of the school that has housed the hospital. Finally, Runnymede will have a facility that suits it needs, and matches the excellence of the care it provides. Completion of construction is expected in 2010 and the Ministry of Health and Long-Term Care capital funding costs are at 90% of eligible construction costs and 100% of planning and design costs. The new Runnymede also hopes to offer day hospital services for patients who do not require permanent Harold Shipp, long time Runnymede admission. supporter with Peter Harris, Chair of Before stricken by illness, our patients had made important contributions to family, community and Runnymede’s Foundation society. With this new facility, we’ll be able to slow the decline in their health, help them be more self- sufficient, and offer them the medical services to live out the rest of their lives in the comfort and dignity they deserve. Not just better, but more effectively and less expensively than other hospitals. Runnymede can provide the treatment and care needed by individuals with chronic illnesses at less than a third of the daily cost of care in an acute care facility.
Minister of Health and Long-Term Care George Smitherman, Runnymede President & Chief Executive Officer Connie Dejak, Minister of Public Infrastructure Renewal David Caplan, Runnymede Chief of Medical Staff Dr. Stephen Ng
Councillor Bill Saundercook chatting with Antonio J. Carvalho, Board Vice Chair Minister Smitherman addressing assembled guests Announcement Celebrations, August 9, 2006 Annual Report 2006/2007 Runnymede Healthcare Centre Chief of Medical Staff Report
Stephen Ng, MD CCFP FCFP Chief of Medical Staff 2006-2007 saw many noteworthy developments and achievements. Our infection control practice was excellent. Outbreaks of influenza flu and the “superbugs” were avoided. We continued to deliver leading edge botulinum treatment to our patients with spasticity. We were able to expand our psychiatric services with the addition of psychotherapy to our services. Despite our physician shortage we were able to maintain 100% provision of primary care. Our attention to detail and commitment to best practices resulted in providing our patients with excellent care.
Margaret Leduc, Dr. Stephen Ng, John Harris, Connie Dejak, Colleen Hightower, Chief Nursing Chief of Medical Senior Vice President & Chief VP Human Executive Staff President & Executive Officer Resources Chief Financial Senior Management Report Officer It was a productive and rewarding year for Runnymede Healthcare Centre with many key decisions made, initiatives launched and goals achieved. First and foremost we are proud to announce that in 2006, Runnymede Healthcare Centre was successful in receiving a three-year accreditation award from the Canadian Council of Health Services We all feel a great sense of pride Accreditation (CCHSA). Accreditation is a process where healthcare organizations are evaluated against ‘‘ national standards of excellence in order to continually improve standards of care. and accomplishment knowing Patient safety and performance levels were enhanced after working through the five accreditation teams and developing a balanced scorecard. Controls were fine-tuned, raising the effectiveness and quality of care we provide throughout our facility. Major investments were made in clinical care, human resources that the future of the hospital has and our finance department. Additional programs and services were implemented, once again having a positive impact on the hospital’s operations and its delivery of specialty care. now been secured. Further strides were taken to raise the profile of Runnymede Healthcare Centre in the community, including the fostering of partnerships with many new healthcare providers and agencies. ’’ Perhaps our greatest accomplishment was receiving the approval to proceed with construction of the Connie Dejak new hospital. Runnymede is now moving forward with Infrastructure Ontario and Ministry of Health President & Chief Executive Officer and Long-Term Care to ensure the necessary governance mechanisms are all in place to monitor the construction timelines and costs. Finally, as a group, we all feel a great sense of pride and accomplishment knowing that the future of the hospital has now been secured, and that the delivery of excellent care our hospital is known for, can continue for many years to come.
Annual Report 2006/2007 Runnymede Healthcare Centre Clinical Report
Marget Leduc, Chief Nursing Executive Over the past year we responded to significant changes in our patient profile to meet the needs of more medically complex patients. Our team of dedicated professionals successfully implemented quality improvement and safety initiatives in the following areas:
Safe Patient Handling Program Ceiling lifts were installed in all patient rooms to prevent injury and promote a culture of safety. We are part of a multi-site study conducted by the Ministry of Health and Long-Term Care to evaluate the effectiveness of ceiling lifts in the prevention of injury.
Wound Care Management We were able to successfully Runnymede’s clinical team worked with Smith & Nephew to develop a comprehensive wound care ‘‘ protocol. This protocol helps us maintain our high standard of wound care and according to the Canadian Institute for Health Information (CIHI) data we consistently score higher than our peer transition 50% more patients comparators across the province. back into the community as E- Health – Emerging Initiative Runnymede has made significant investments in IT infrastructure and education. We have commenced an initiative that will see all healthcare records stored electronically. The new Electronic Health Record compared to previous years. (EHR) initiative will provide a secure and private record of each patient’s health history and care within ’’ the hospital. Margaret Leduc Inter-professional Mentorship Opportunities Chief Nursing Executive We continue to partner with colleges and universities nation-wide and have increased the number of clinical placements offered to students.
Nursing Initiatives Runnymede would like to acknowledge the new graduate and late career grants from the Nursing Secretariat that allowed us to provide new graduates with extended orientation and late career nurses with opportunities to experience new areas of practice.
Annual Report 2006/2007 Runnymede Healthcare Centre Patient Services Circle of Care Our “Circle of Care” is a comprehensive assessment of the individual’s whole health needs – body, mind and spirit. Through a team approach, a plan of care is developed and implemented with the patient at the centre of the care circle. Runnymede provides complex continuing care, palliative care, and respite care through a broad range of inpatient services. We serve people with multiple clinical diagnosis including, but not limited to, severe stroke, advanced dementia, moderate to severe brain injury, as well as advanced degenerative neuromuscular diseases specializing in Multiple Sclerosis and Huntington’s disease. Our patients are referred to us from health care organizations and community care access centers primarily in the Greater Toronto Area. The average length of stay for each patient at Runnymede is 330 days.
Central to these programs are the comprehensive clinical services offered, including:
Circle of Care
Medical
Social Pharmacy Services
Speech Nursing Activity Therapy helps people Language ‘‘ Pathology of all ages and backgrounds Patient
to get well by contributing to a Volunteers Physiotherapy healthier mind and body.’’ Clinical Activity Therapy Stella Nieckarz Nutrition Director, Activity Therapy Occupational Therapy
Annual Report 2006/2007 Runnymede Healthcare Centre 11 Patient Services • We respect each patient’s unique care needs, perspectives about health and ethnic diversity and empower patients and their families to participate in care decisions across the continuum of care.
• The team works collaboratively performing ongoing assessments to ensure that the care provided meets the needs of the patient.
• Taking the lead in safe practices, we are committed to ensuring the advancement of safe medication use for our patients. We are members of the Institute for Safe Medication Practices (ISMP).
• We develop individualized treatments to promote optimal physical function and independence. A fitness group program is offered to assist patients to achieve these goals.
• We ensure specialized seating adaptive equipment and/or make changes to the patient’s environment to improve safety and independence.
• All patients at Runnymede receive specialized nutritional care in two key areas: dysphasia (swallowing difficulty) management and enteral (tube feeding).
• Our approach strives to see that each patient is managing at his or her optimal potential in the areas of communication and swallowing.
• We provide therapeutic recreation programs including community out trips enabling patients to remain active in the broader community and maintain a sense of wellness.
• We provide a smooth transition to Runnymede throughout the admissions process. Individual and family counseling provides support in dealing with the emotional strain associated with hospitalization.
• Our Restorative Feeding Program provides an enjoyable dining experience while meeting therapeutic goals in a group setting.
• The Resident/Family Council enables both patients and family members to communicate directly with our senior management team based on patient centered goals.
A person’s ability to speak or • Runnymede is fortunate to have a strong and thriving core of over 100 volunteers and numerous ‘‘ community organizations who have donated their time and whose positive impact is felt on a daily communicate effectively and to basis. eat and drink safely are essential aspects to maintaining a good quality of life.’’ Lisa Dess Director, Allied Health
Annual Report 2006/2007 Runnymede Healthcare Centre 13 Summarized Balance Sheet March 31, 2007
2007 2006 Assets Current financial report Cash $ ,288,421 $ 1,435,993 Accounts receivable 753,819 2,055,557 Inventories and prepaid expenses 159,880 98,105 2,202,120 3,589,655
Investments and Funds Held In Trust 19,205,575 18,580,990
Deloitte & Touche LLP Capital Assets 7,638,617 6,704,603 5140 Yonge Street Suite 1700 $ 29,046,312 $ 28,875,248 Toronto ON M2N 6L7 Canada
Tel: 416-601-6150 Liabililties and Net Assets Fax: 416-601-6151 www.deloitte.ca Current Accounts payable and accrued liabilities $ ,011,521 $ 3,829,017 Deferred operating revenue 172,137 209,865 Auditors' Report 3,183,658 4,038,882 Deferred Contributions 13,784,039 13,617,088 To the Board of Directors and Members Runnymede Healthcare Centre Accrued Benefit Liabililty 482,600 466,700 17,450,297 18,122,670
The accompanying summarized balance sheet and statement of operations are derived from the complete financial statements of Runnymede Healthcare Centre (the “Hospital”) as at March 31, 2007 and for the Net Assets 11,596,015 10,752,578 year then ended on which we expressed an opinion without reservation in our report dated June 8, 2007. $ 29,046,312 $ 28,875,248 The fair summarization of the complete financial statements is the responsibility of management. Our responsibility, in accordance with the applicable Assurance Guideline of The Canadian Institute of Chartered Accountants, is to report on the summarized financial statements.
In our opinion, the accompanying financial statements fairly summarize, in all material respects, the related complete financial statements in accordance with the criteria described in the Guideline referred Summarized Statement to above.
These summarized financial statements do not contain all the disclosures required by Canadian generally of Operations accepted accounting principles. Readers are cautioned that these statements may not be appropriate for their purposes. For more information on the Hospital’s financial position, changes in net assets, results of Year ended March 31, 2007 operations and changes in financial position, reference should be made to the related complete financial statements. 2007 2006 Revenue Ministry of Health and Long-Term Care (“MOHLTC”) $ 2,209,128 $ 11,682,784 Co-payment and differential semi-private income 1,267,423 1,167,418 Chartered Accountants Investment income 554,533 503,878 Licensed Public Accountants Other 320,273 404,511 Toronto, Ontario 14,351,357 13,758,591 June 8, 2007 Expenses Salaries and employee benefits 10,676,755 11,143,705 Supplies and drugs 925,844 948,469 Food and dietary supplies 383,144 357,969 Maintenance, operations and amortization 504,136 926,851 Administration 1,018,041 1,249,086 13,507,920 14,626,080
EXCESS (DEFICIENCY) OF REVENUE OVER EXPENSES FOR THE YEAR $ 843,437 $ (867,489)
14 Runnymede Healthcare Centre Annual Report 2006/2007 Annual Report 2006/2007 Runnymede Healthcare Centre 15 Board of Directors
Corporation: David Armstrong Peter Bulut Richard Cumbo John Downing Deputy Chief Susan Grant, Antonio J. Carvalho Connie Dejak, Keith Forde Chair, Board of Directors Vice Chair, Secretary-Treasurer and A. Gerold Goldlist Board of Directors President and Deborah Hanscom Chief Executive Officer Peter Harris Anetta Jewell Morley Kells Alex Ling Judith Malcolm Senator Marian Maloney Dr. Stephen Ng, John O’Dwyer Councillor Bill Saundercook Paula McInerney Chief of Medical Staff Arnold Milan Councillor Peter Milczyn Steven Mould Anthony Nelson Sarah Perry Doug Porter Charlie Reid Dr. Gareth R. Taylor Jill Coles George Cushing Rod Archer Joseph Torzsok Patrick Wilson Having lived in this community Ihor Wons ‘‘ all our lives we were thankful Honourary Board/Corporation: Al Stewart that Runnymede was there for Michael Wright us in our time of need. I know Victor York Isabelle O’Connor Dori Hawkinson my husband has received
Not pictured: excellent care. Joseph Vecsi ’’ Apolonnia Farrugia with her husband, Joe Farrugia
Dr. Helen Gryniewski Travis More Hon. Sarmite Bulte, P.C.
16 Runnymede Healthcare Centre Annual Report 2006/2007 Runnymede Healthcare Centre 625 Runnymede Road Toronto, ON M6S 3A3 telephone: (416) 762-7316 fax: (416) 762-3836 email: [email protected] www.runnymedehc.ca